You two characters are my people. I work in emergency medicine (30 years now!) I never dreamed our healthcare system would be in the shape it’s in now. It’s truly embarrassing. I can’t tell you how thankful I am that you are both willing to take time out of your busy schedules to sit and share your thoughts and opinions with us. I joked last week about “sanity restored” but, there is a lot of truth to that. I don’t necessarily NEED the validation to know I’M not the crazy one here but, it is so appreciated! Much success to you both in all you do!!!
I am not in the medical field but I feel like I learn so much from your videos and podcasts - together and separately. When I first started watching “Z” at the first of the pandemic I did check him out with my grandson who is a Harvard trained doctor. I was assured he was legit and very respected…so I have continued watching and learning. Thank you
Congratulations Dr P on your teaching award! Students are so fortunate to have you as a professor and we are fortunate as an audience. I found the UMN oath to be very depressing and to be forced to recite something written by a handful of people to be further depressing. Nothing is perfect but tradition and ritual in this case are important to preserve bec the oath became meaningless.
10 minutes after reciting "We affirm that patients are the experts of their own bodies, and will partner with them to facilitate holistic wellbeing." - i'm sure half the students went and advocated for a vaccine mandate.
Exactly what I was thinking. These two totally glossed over the importance of acknowledging that patients know what is best for them, not doctors, as well. The arrogance of the medical profession is nauseating.
My father-in-law had a perforated bowel due to a botched colonoscopy. It pretty much ended his independence because he couldn't keep control of his bowels anymore. They had to remove a section of his colon due to the perforation and it would have killed him had he not prepped so well beforehand. My current doctor ordered me a colonoscopy and I have refused. I'm very biased with no family history.
2 ปีที่แล้ว
Not surprised about Dr. Prasad’s teaching awards. Both of you are great at explaining to non-experts-such an important skill and the test of real mastery. You don’t use jargon and you make people who haven’t spent years reading about a topic feel like they understand it, based on fundamental principles of logic, biology and well-designed scientific studies.
Glad you discussed the anesthesia issue, as it's become an issue in my treatment options. (Long story short): In my 40s in NJ with IBS and inconclusive ultrasounds, I prepped for the colonoscopy. It wiped out my electrolytes, lowered my already low BP and pulse (to 80/50, 40 beats) so I couldn't get anesthesia. They refused to proceed without it, but sent me home with a 24-hr heart monitor and a nuclear stress test (verdict: 'athlete's heart'). Ever since, I've had only the fecal test. The IBS lessened once I got treated for hypothyroid. These invasive over-treatments and tests wouldn't have been done had I been uninsured, and I never would have paid for them myself. I've refused anesthesia and invasive procedures ever since, with no regrets. I will mercifully stop before detailing my mammography and PAP smear debacles. Love your show!
I was a research nurse that did fecal transplant for severe CDI. I played with poop every day and know all about shipping, storing and collecting poop.
Coincidentally, I am in the midst of reading a JAMA article from sept 23, entitled Social Media and Medical Misinformation, pleading how social media must not be allowed to contaminate the official narrative of medical authorities and their view of the science, which of course cannot be challenged.
I agree. If you came to the Orlando area I would do everything I could to be there. It would be an honor to shake your hand VP and ZD. I say that as a retired RN.
Thank you for this very informative video. I was laughing while learning through the entire piece. You two provide a valuable service. Evidence based medicine ... who would have thought I could get this on YT?
I’m a first year medical student and I just want to say how thankful I am to have level-headed physicians like you to look up to for how to practice evidence-based medicine!
I wish we could celebrate our son’s graduation from his ED residency with you two as our entertainment! He got smacked in the face by a patient last month and thought of what you have covered: I knew something was coming. A good prerequisite to emergency medicine could be time in the net as a hockey goalie. It would’ve been worse if he hadn’t ducked at the right time. Keep doing what you’re doing and thank you!
Love listening to you guys. Of note, while your video is great, the sound drives me nuts. Often when watching this episode on TV, sound is very soft so the volume goes up and then you laugh and blast the ears out.
I was looking for this comment and couldn’t agree more. I really want to listen to this conversation but the audio imbalance makes it really difficult. The cycle of whisper quiet convo leading to ear splitting laughter - followed up with a return to whispers detracts from the experience.
Excellent discussion. GI NP here, and so I don't scope, but talk and treat patients with IBS, IBD, etc in clinic. I think the speciality itself is very interesting, but until we step back from paying more for procedures, this will get a lot of push back. I am biased, my Mom was one of those right sided CRC that resulted in hemicolectomy and I guess because we see so many cancers in our center, it makes us advocate for the procedure.
You guys worry too much over the framing of the video and not enough about the audio, which is the point of the podcast, whether the video or audio-only version. Too frequently, I have to watch or listen with my hand on the volume control. On this one, I can barely hear VP, and ZD, you’re way too loud. Except I’ve noticed that Vinay is always has a much wider dynamic range when he talks. He gets suddenly loud when he gets excited about something and when he’s laughing. You could deal with the problem by routing both mics through an analog compressor on the way in, or by applying digital compression after recording. Then you can apply overall compression to the whole thing before rendering. Anyway, I love the podcasts nevertheless. But I think you’ll improve the accessibility (and ratings) of all your podcasts if you make them in a way that we can better hear what you’re saying.
Hi Kerry, excellent points. Take a listen to the audio from the podcast version, I took the video audio from VP and ran compression and noise reduction, as well as some other subtle stuff for this version that's audio-only: soundcloud.com/vpzd/ep-28?si=7586417c05b74555a325cb1cbfe0da72&
I hope you can do a joint speaking tour! I live in DC and would definitely carve out time to hear that. If you took all the questions it would run into the next day though.
Capturing consistent audio is the biggest problem with the side-by-side format. Because the two of you are sitting next to each other, Vinay, you often move too far from the mic when you're looking at ZD. It causes your volume to drop significantly below his. The video look seems less conversational than when you do your shows at ZD's but I really like it for your solo videos. I should also emphasize that your audio is excellent in your solo videos. BTW, I'm not complaining. I'd follow the VDZP show if you streamed it on a single iphone under an LA overpass.
Omg I’m obsessed with y’all !!! Love u guys so happy this episode felt like it came so fast I’m commenting in beginning of it so may comment again afterward
My father is one of those antidotal studies. He changed jobs and changed insurance at 53 was able to go in and get a colonoscopy instead of waiting till 55, and had to have 18 in of diseased bowel removed. He is approaching 70 now and healthy as he can be. He has had some other cancers (liver, totally treated. prostate, to which the doctor said my Dad will probably die of something else before the prostate cancer) and complications (blocked bowel a year after his surgery, but we were able to find the liver cancer at that point.).
I am writing from the Philippines. My 90 year old father had a colonoscopy done because of some irregularities on his CT scan. He had an awake colonoscopy because he was afraid that he would not wake up if he was sedated. He tolerated the procedure well and they were able to see the whole colon. So, its possible to to the colonoscopy without sedation with minimal discomfort.
What happens to students who refuse to take the oath? Did students know what they were getting into when they applied to U Minn Med School? Let's see, swear an oath one doesn't believe in? Great start as a doctor with integrity.
Just want to say that amidst all the (still) Covid hysteria, my friend (late 50s-early 60s) told me that after a recent Covid infection, the tremors in his hands that started at age 18, suddenly disappeared. He’s thrilled, because he was worried that he would have to retire from his high-profile orchestra timpani job early. Of course, he has no idea how long this reprieve may last, or if it’s related to Covid, but this is the first I’ve heard of someone getting a benefit shortly after an infection. All other symptoms were just normal cold symptoms. Just thought you guys might be interested.
58:00 yes the individual sentiments are wrong. "indigeneous" healing practices are not what the lawyers will focus on when medicaid patients show up at the ER and you paint a tiger on the swelling in their cheek and send them off also, this school explicity does not act as if the patient is in charge of their own treatment. Every student at UM is a patient who had to participate in an unpaid drug trial by Dec 31 2021 to patricipate in that seance white coats don't mean dominance in anyone's head except the admin of med schools like this. see previous example. talk is cheap. this video shows handpicked leftovers after anyone who would have walked out of the Milgram experiment already left last year. They will repeat, and do, anything the man in the white coat tells them to.
as a non medical person- from what I can tell the Hippocratic oath was about looking forward, the new path is looking back with guilt. guilt will never make people preform better. also the oath is not political- I'm sure the people who wrote it believe in it as helping others but it is not about medicine. UNLESS they actually allow really traditional healing practices into theodern meds. bravo if they do that! and after hearing the new oath next to "white" coats...guess that's next
If they are affirming that patients are the experts of their own bodies, will they be signing a prescription for Dilauded if I show up, say that it's the only thing that helps, and that I know my own body?
Just wanted to share my covid experience as a 45 year old male in ok health. Got the jj jab last summer and just recently got covid . I call it the covid 6 as in I got a 6 day vacation and lost six pounds. My only symptoms was a fever that broke in 36 hours and not being hungry for a week. 2 weeks out I feel great and my hunger qs have reset.
I’m glad to learn about bowel perforation and the use of sedative during colonoscopy. I’m due next year for a repeat and I’m going to ask for a little oral medication pre procedure and do it without the IV drug.
Had mine done with no sedation. There's ~30 seconds of discomfort initially when colon is pumped full of air. Polyp removal is painless. Dental work is far more uncomfortable and have never been sedated for that. Have no idea why they push sedation for colonoscopy; it just drives up the risks and costs. Good to learn as side benefit that no sedation forces Gastro Doc to be gentler, which further reduces risk.
You can still take IV sedation but a much lower dose. I just need that initial sedation for insertion. Then I am awake. Since I go to a colon cancer screening place they are not allowed to give alot of sedation, just the minimum. I was asked if I wanted none.
Some feedback. Overall great show. Felt a bit awkward up front with the two of you on the same side of the desk, but it got better as you went. VP was a little bit far from the microphone at times as he turned toward ZD, but otherwise audio and video on point. A note about the nuclear button that you joked about Trump pressing... Joe Biden is much closer to pressing any nuclear launch button than Trump ever was.
Proper control of your wee wee 😂😂😂😂😂 I just did a ColoGuard. I’m 60. Did one at 55. It was easy ! Negative both times. I’m in healthcare and have seen too many perfs! I will pass on the scope and continue with the ColoGuard. ♥️
Come on, guys, the FIT is easier than going through a colonoscopy! No prep, no torturing yourself the night before, no begging a friend to spend half a day taking you to a facility, no missing work, no post procedure restrictions from the sedation.
This isn’t a central point but saying that Kentanji Brown Jackson wasn’t selected because of race/gender is a difficult claim to make when Biden said that was what he was doing. It’s not a great analogy.
I much prefer your setup to ZDogg's because with yours, we see both of you all of the time. However, with ZDogg's, you're on different cameras that are switched between, so we only see each of you 1/2 of the time. It's just not as good.
TO BOTH DOCTORS: Please consider reviewing the data just published on COVID-19 in The Lancet on October 15, 2022. Of particular note is the sentence under "FINDINGS" which speaks to natural immunity: Individuals with a history of COVID-19 infection were at reduced risk (infected ≥9 months before booster dose vs no previous infection; aRR 0·41 [95% CI 0·29-0·58]). Somehow, the authors didn't see this as a key part of the story.
Vinay you make me laugh so hard. Together, I often spit out my drink. I mean, the "juice" with the colon test? I nearly had to pull over to the side of the road I was rolling. Love your views on covid. I agree with everything you have said over the last two years. Like the older woman who wouldn't get vaxxed, I often was dismissed and targeted (and I didn't even vote for Trump! LOL). I'm glad my feelings are shared by others, including both of you. Love both your shows!
Another gripe re: Dr Z, I had a GI issue that lasted 3 months… I know pain - it was not imagined, just because it is difficult for doctors to analyze and diagnose GI issues doesn’t mean they are imagined, it means - you probably need a better doctor. OH Doctor my Doctor - think of your statement when you have a GI issue - you wll know true pain and difference in your gut.
I don't think he was dismissing GI psych issues. He was commenting more about the brain gut working together (symbiosis.)which is very true. I had cdiff infection and terrible anxiety. There is lots of info re brain gut issues. I would love to hear more talk about this.
My only concern with the colonoscopy study is that the SAD diet and American lifestyle are completely different from other countries. We cannot extrapolate from this study that even though they are all humans the environmental impacts are different and are typically what drive colon polyp/cancer formation. It would be interesting to see the same study performed in the US.
ZDoggs’s description of the process to send in a poo sample was highly exaggerated. I’ve done them numerous times over the past 25 years. Very simple and easy.
VP you need to stop echo chamber and get jha or ladapo or other news makers. You cannot just keep pontificating you need to have a dialogue with these folks... Only way your channel will truly grow
My father had colon cancer at age 56. After his sigmoid was removed, he had to go for colonoscopies every 6 months. He had to drive an hour for the test so was always able to do them with no sedation. I have had 4 colonscopies. Usually take a small amount of sedation but am awake for most of it. Glad to hear this is good and that Dr less likely to perforate with an awake patient.
Just thinking that in America our food is not the same as in European countries. I think we should keep doing the full colon based on our fatty fat intake. European dessert isn't even close to the amount of sugar we have in ours. This housekeeper used to bring us her baked goods and 😖. I'm guessing Norway is the same. When I visited Thailand... no aspartame in the diet coke. I don't know anything though.
So I have a question, I've had 2 colos (I'm 40), because I'm at high familial risk. The first wasn't so bad, but I feel like they over dosed the knockout meds this last time. I've had 2 polyps removed. I know your not my doc, but how do I advocate for less knockout meds?
You two characters are my people. I work in emergency medicine (30 years now!) I never dreamed our healthcare system would be in the shape it’s in now. It’s truly embarrassing. I can’t tell you how thankful I am that you are both willing to take time out of your busy schedules to sit and share your thoughts and opinions with us. I joked last week about “sanity restored” but, there is a lot of truth to that. I don’t necessarily NEED the validation to know I’M not the crazy one here but, it is so appreciated! Much success to you both in all you do!!!
Wow what a high demand job &30 years!! 🙏
It’s not hard to imagine when you consider what a centralized government does to a society.
Look up “Chart of the Century.”
Truly ethical doctors are an endangered species. These two are gems of their field.
AND Dr. Jay too!
Zdogg lost my respect pushing the mRNA vacc+ines
3:25 Colonoscopy
42:45 Ladapo
53:22 UMN oath
1:15:40 Ladapo/Science editorial
1:22:40 Covid Thoughts
Thanks
@@feetch8 what he said
@@bgw32 I appreciate you adding it.
Dr. Prasad, you are a masterful teacher, with a brilliant mind. Congratulations!
I am not in the medical field but I feel like I learn so much from your videos and podcasts - together and separately. When I first started watching “Z” at the first of the pandemic I did check him out with my grandson who is a Harvard trained doctor. I was assured he was legit and very respected…so I have continued watching and learning. Thank you
Congratulations Dr P on your teaching award! Students are so fortunate to have you as a professor and we are fortunate as an audience. I found the UMN oath to be very depressing and to be forced to recite something written by a handful of people to be further depressing. Nothing is perfect but tradition and ritual in this case are important to preserve bec the oath became meaningless.
10 minutes after reciting "We affirm that patients are the experts of their own bodies, and will partner with them to facilitate holistic wellbeing." - i'm sure half the students went and advocated for a vaccine mandate.
I wonder how many of the rich kids in ivy league universities have private doctors who just gave em the passport...or just got Placebos..
@@thomashauer6804 would be quicker to count the ones that didn’t get one😂
@@vincentfavreau5547 probably..even i as middle class sheep know 3,4 doctors who would have done it
Exactly what I was thinking. These two totally glossed over the importance of acknowledging that patients know what is best for them, not doctors, as well. The arrogance of the medical profession is nauseating.
Never, ever thought Id say this, but Dr. Z is growing on me ❤️🙏🏻Have always loved Dr. Prasad.
This thing called freedom. Never forget.
My grandfather died from a perforated bowel from a botched colonoscopy. I admit I'm somewhat biased against the test.
That's horrible 😔 Sorry for your loss ❤️
I'm so sorry.... heartbreaking!
Bless him & his memory. Learning what a gamble colonoscopy is, I feel for everyone who suffered from trust in new ways.
Geez, Bro. Sorry.
My father-in-law had a perforated bowel due to a botched colonoscopy. It pretty much ended his independence because he couldn't keep control of his bowels anymore. They had to remove a section of his colon due to the perforation and it would have killed him had he not prepped so well beforehand. My current doctor ordered me a colonoscopy and I have refused. I'm very biased with no family history.
Not surprised about Dr. Prasad’s teaching awards. Both of you are great at explaining to non-experts-such an important skill and the test of real mastery. You don’t use jargon and you make people who haven’t spent years reading about a topic feel like they understand it, based on fundamental principles of logic, biology and well-designed scientific studies.
Intellectual heroes: nuanced, science-based, rational and civil. "Humans are narrative-based creatures. . . ." Such a wise, insightful comment.
Love the discussions you two have. Don’t understand all of it but love that you can talk to each other.
I was hoping you would talk about the Florida Surgeon General’s report on death of males 18-39 yo dying up to 28 days after the vax.
Oops! You did. I didn’t recognize his name when you did the intro. Thanks!
Glad you discussed the anesthesia issue, as it's become an issue in my treatment options. (Long story short): In my 40s in NJ with IBS and inconclusive ultrasounds, I prepped for the colonoscopy. It wiped out my electrolytes, lowered my already low BP and pulse (to 80/50, 40 beats) so I couldn't get anesthesia. They refused to proceed without it, but sent me home with a 24-hr heart monitor and a nuclear stress test (verdict: 'athlete's heart'). Ever since, I've had only the fecal test. The IBS lessened once I got treated for hypothyroid.
These invasive over-treatments and tests wouldn't have been done had I been uninsured, and I never would have paid for them myself. I've refused anesthesia and invasive procedures ever since, with no regrets. I will mercifully stop before detailing my mammography and PAP smear debacles. Love your show!
Thanks for the thoughtful conversations! I think you should interview Dr. Ladapo…would love to hear the views you share and don’t share discussed…
Yes! I loved the three way conversation with Dr Makary last year!
congrats on your teaching award. you surely deserve it
I would love him as a teacher.
I was a research nurse that did fecal transplant for severe CDI. I played with poop every day and know all about shipping, storing and collecting poop.
Coincidentally, I am in the midst of reading a JAMA article from sept 23, entitled Social Media and Medical Misinformation, pleading how social media must not be allowed to contaminate the official narrative of medical authorities and their view of the science, which of course cannot be challenged.
Yeah that's a big problem. Not
@@23jimmor i am confused. Do you not see the problem with that?
@@robertkirby8507 Some people just naturally find themselves in support of totalitarian regimes...The Science must never be questioned. :/
The flow and chemistry was great. I enjoyed the humour and laughter the best.
As always I so enjoy your discussions. I am a lay person and I appreciate your help in understanding study information.
The idea of you guys doing a traveling show together would be amazing!!!!
I agree. If you came to the Orlando area I would do everything I could to be there. It would be an honor to shake your hand VP and ZD. I say that as a retired RN.
Thank you for this very informative video. I was laughing while learning through the entire piece. You two provide a valuable service. Evidence based medicine ... who would have thought I could get this on YT?
I’m a first year medical student and I just want to say how thankful I am to have level-headed physicians like you to look up to for how to practice evidence-based medicine!
Also that Atul bit was killer 🤣
Loved the quality of this show and truly learned so much!! I second Len - great flow and chemistry!! Thank you!
Wow! I didn't know you guys knew each other! You two kept me same over the past two years.
Same same!
I wish we could celebrate our son’s graduation from his ED residency with you two as our entertainment! He got smacked in the face by a patient last month and thought of what you have covered: I knew something was coming. A good prerequisite to emergency medicine could be time in the net as a hockey goalie. It would’ve been worse if he hadn’t ducked at the right time. Keep doing what you’re doing and thank you!
Love listening to you guys. Of note, while your video is great, the sound drives me nuts. Often when watching this episode on TV, sound is very soft so the volume goes up and then you laugh and blast the ears out.
I was looking for this comment and couldn’t agree more. I really want to listen to this conversation but the audio imbalance makes it really difficult.
The cycle of whisper quiet convo leading to ear splitting laughter - followed up with a return to whispers detracts from the experience.
YES! It’s awful! Especially listening with headphones. Whisper to blasting laughter.🤯😡
When ZDogg said humans "aren't entities or objects" VP takes a drink of OJ like "here we go"
People have all different kinds of laughs. I realized today I have a VPZD laugh. From my belly with a slight evil stepmother tone. 😂
I enjoy the both of you together and individually. As long as I can see and hear you clearly the camera angle does not matter to me.
Film it. You guys are great together. Thanks for the real information and entertainment.
Excellent discussion. GI NP here, and so I don't scope, but talk and treat patients with IBS, IBD, etc in clinic. I think the speciality itself is very interesting, but until we step back from paying more for procedures, this will get a lot of push back. I am biased, my Mom was one of those right sided CRC that resulted in hemicolectomy and I guess because we see so many cancers in our center, it makes us advocate for the procedure.
LOVE THIS!!-EXTREMELY INFORMATIVE, ENTERTAINING, YET EASY-LISTENING!
I think watching over an hour of this would be a pain in the butt.
Especially with the non-existent sound modulation. Whispering to yelling!
Congratulations on your teaching award. I
Learn stuff from you all the time!!
"That which does not kill you only puts off the inevitable."
You guys worry too much over the framing of the video and not enough about the audio, which is the point of the podcast, whether the video or audio-only version. Too frequently, I have to watch or listen with my hand on the volume control. On this one, I can barely hear VP, and ZD, you’re way too loud. Except I’ve noticed that Vinay is always has a much wider dynamic range when he talks. He gets suddenly loud when he gets excited about something and when he’s laughing. You could deal with the problem by routing both mics through an analog compressor on the way in, or by applying digital compression after recording. Then you can apply overall compression to the whole thing before rendering. Anyway, I love the podcasts nevertheless. But I think you’ll improve the accessibility (and ratings) of all your podcasts if you make them in a way that we can better hear what you’re saying.
I don't know what the technical stuff is that you mentioned but it's nice to see a critical comment with helpful advice!
Hi Kerry, excellent points. Take a listen to the audio from the podcast version, I took the video audio from VP and ran compression and noise reduction, as well as some other subtle stuff for this version that's audio-only: soundcloud.com/vpzd/ep-28?si=7586417c05b74555a325cb1cbfe0da72&
@@joanna0988 I really do mean to be helpful. I want VPZD to succeed and make an impact. They both have voices and messages that need to be heard!
I came to make the same comment. I haven’t encountered the problem to this degree in their other podcasts.
FYI I listened originally on Apple Podcast.
LMAO. I have done both. VPs response to the description is hilarious.
Talking about colonoscopy without any preparation beforehand, that's brave.
I hope you can do a joint speaking tour! I live in DC and would definitely carve out time to hear that. If you took all the questions it would run into the next day though.
I’m 49 and had my first colonoscopy this year - no family history of colon cancer - had a large polyp that was removed and I’m glad it’s gone!
Capturing consistent audio is the biggest problem with the side-by-side format. Because the two of you are sitting next to each other, Vinay, you often move too far from the mic when you're looking at ZD. It causes your volume to drop significantly below his.
The video look seems less conversational than when you do your shows at ZD's but I really like it for your solo videos. I should also emphasize that your audio is excellent in your solo videos.
BTW, I'm not complaining. I'd follow the VDZP show if you streamed it on a single iphone under an LA overpass.
thank you both ! i truly appreciate your wisdom and knowlege
Omg I’m obsessed with y’all !!! Love u guys so happy this episode felt like it came so fast I’m commenting in beginning of it so may comment again afterward
I’m so thankful for you both 🙏 🙌
That was great! Great casual conversation!!
Great conversation ... really appreciated hearing it. Keep up the awesome work, guys!
My father is one of those antidotal studies. He changed jobs and changed insurance at 53 was able to go in and get a colonoscopy instead of waiting till 55, and had to have 18 in of diseased bowel removed. He is approaching 70 now and healthy as he can be. He has had some other cancers (liver, totally treated. prostate, to which the doctor said my Dad will probably die of something else before the prostate cancer) and complications (blocked bowel a year after his surgery, but we were able to find the liver cancer at that point.).
Has Z Dogg humbled and come to his senses regarding the safety and efficacy of the "procedure"?
I wonder if a leopard can ever change its spots.
He’s an accessory to the entire sham. He cannot be trusted.
He’s probably still shillin’
I cannot believe what a fool this guy has made of himself. 😄
Unreal.
@@ddk567t A real fool mate 🤣 😂 💯. To blindly follow official narrative is extraordinary stupidity.
I am writing from the Philippines. My 90 year old father had a colonoscopy done because of some irregularities on his CT scan. He had an awake colonoscopy because he was afraid that he would not wake up if he was sedated. He tolerated the procedure well and they were able to see the whole colon. So, its possible to to the colonoscopy without sedation with minimal discomfort.
What happens to students who refuse to take the oath? Did students know what they were getting into when they applied to U Minn Med School? Let's see, swear an oath one doesn't believe in? Great start as a doctor with integrity.
Very informative and a pleasure to hear both of your thoughts. Thank you for sharing, gentleman.
Just want to say that amidst all the (still) Covid hysteria, my friend (late 50s-early 60s) told me that after a recent Covid infection, the tremors in his hands that started at age 18, suddenly disappeared. He’s thrilled, because he was worried that he would have to retire from his high-profile orchestra timpani job early. Of course, he has no idea how long this reprieve may last, or if it’s related to Covid, but this is the first I’ve heard of someone getting a benefit shortly after an infection. All other symptoms were just normal cold symptoms. Just thought you guys might be interested.
I have become more heat and humidity tolorant, after 3 rounds of covid, than I used to be. 52 and unvaxed
58:00 yes the individual sentiments are wrong.
"indigeneous" healing practices are not what the lawyers will focus on when medicaid patients show up at the ER and you paint a tiger on the swelling in their cheek and send them off
also, this school explicity does not act as if the patient is in charge of their own treatment. Every student at UM is a patient who had to participate in an unpaid drug trial by Dec 31 2021 to patricipate in that seance
white coats don't mean dominance in anyone's head except the admin of med schools like this. see previous example.
talk is cheap. this video shows handpicked leftovers after anyone who would have walked out of the Milgram experiment already left last year. They will repeat, and do, anything the man in the white coat tells them to.
as a non medical person- from what I can tell the Hippocratic oath was about looking forward, the new path is looking back with guilt. guilt will never make people preform better. also the oath is not political- I'm sure the people who wrote it believe in it as helping others but it is not about medicine. UNLESS they actually allow really traditional healing practices into theodern meds. bravo if they do that! and after hearing the new oath next to "white" coats...guess that's next
Dr. Z at one point was very adamant about get your shot to the point of being a bully, I stopped following him because his attitude felt abusive.
Yes, so many docs sold out!
If they are affirming that patients are the experts of their own bodies, will they be signing a prescription for Dilauded if I show up, say that it's the only thing that helps, and that I know my own body?
42:40 starts myocarditis risk discussion
Just wanted to share my covid experience as a 45 year old male in ok health. Got the jj jab last summer and just recently got covid . I call it the covid 6 as in I got a 6 day vacation and lost six pounds. My only symptoms was a fever that broke in 36 hours and not being hungry for a week. 2 weeks out I feel great and my hunger qs have reset.
I’m glad to learn about bowel perforation and the use of sedative during colonoscopy. I’m due next year for a repeat and I’m going to ask for a little oral medication pre procedure and do it without the IV drug.
Had mine done with no sedation. There's ~30 seconds of discomfort initially when colon is pumped full of air. Polyp removal is painless. Dental work is far more uncomfortable and have never been sedated for that. Have no idea why they push sedation for colonoscopy; it just drives up the risks and costs. Good to learn as side benefit that no sedation forces Gastro Doc to be gentler, which further reduces risk.
You can still take IV sedation but a much lower dose. I just need that initial sedation for insertion. Then I am awake. Since I go to a colon cancer screening place they are not allowed to give alot of sedation, just the minimum. I was asked if I wanted none.
Some feedback. Overall great show. Felt a bit awkward up front with the two of you on the same side of the desk, but it got better as you went. VP was a little bit far from the microphone at times as he turned toward ZD, but otherwise audio and video on point. A note about the nuclear button that you joked about Trump pressing... Joe Biden is much closer to pressing any nuclear launch button than Trump ever was.
Love listening to you guys
Proper control of your wee wee 😂😂😂😂😂 I just did a ColoGuard. I’m 60. Did one at 55. It was easy ! Negative both times. I’m in healthcare and have seen too many perfs! I will pass on the scope and continue with the ColoGuard. ♥️
“Backed in” twice stated during a colo discussion. Nice, VP!
Come on, guys, the FIT is easier than going through a colonoscopy! No prep, no torturing yourself the night before, no begging a friend to spend half a day taking you to a facility, no missing work, no post procedure restrictions from the sedation.
This isn’t a central point but saying that Kentanji Brown Jackson wasn’t selected because of race/gender is a difficult claim to make when Biden said that was what he was doing. It’s not a great analogy.
Great catch!❤
Thanks! You guys are great!!!
26:30 and luckily: we can still bill for that. #MedicalMeditaion #Retreat #flowstate _JC
I just love this show!
I much prefer your setup to ZDogg's because with yours, we see both of you all of the time. However, with ZDogg's, you're on different cameras that are switched between, so we only see each of you 1/2 of the time. It's just not as good.
I would pay money to see you guys live!
Me, too, and I'm not even in medicine.
TO BOTH DOCTORS: Please consider reviewing the data just published on COVID-19 in The Lancet on October 15, 2022. Of particular note is the sentence under "FINDINGS" which speaks to natural immunity: Individuals with a history of COVID-19 infection were at reduced risk (infected ≥9 months before booster dose vs no previous infection; aRR 0·41 [95% CI 0·29-0·58]).
Somehow, the authors didn't see this as a key part of the story.
Yeah, that's exactly what I expect my physician to counsel me on---indigenous healing practices.
56:00 you could interpret that as _"i will not perform surgeries i do not believe will help the patient"_ ; leave the stone line. _JC
Great show as always but the volume on this one is very uneven!
Yes, it’s terrible!
Vinay you make me laugh so hard. Together, I often spit out my drink. I mean, the "juice" with the colon test? I nearly had to pull over to the side of the road I was rolling. Love your views on covid. I agree with everything you have said over the last two years. Like the older woman who wouldn't get vaxxed, I often was dismissed and targeted (and I didn't even vote for Trump! LOL). I'm glad my feelings are shared by others, including both of you. Love both your shows!
It’s scary where medicine is headed…
Listening to y’all discuss GI with a straight face….impossible 🤣 thanks for the great content!
I like you facing each other better. I don't hear Vinay well this way, bc he is looking at Z (as he should) and his mouth is away from the microphone.
Try to remember not to turn away from the mic when talking🎤
So glad to have your program around.
Another gripe re: Dr Z, I had a GI issue that lasted 3 months… I know pain - it was not imagined, just because it is difficult for doctors to analyze and diagnose GI issues doesn’t mean they are imagined, it means - you probably need a better doctor. OH Doctor my Doctor - think of your statement when you have a GI issue - you wll know true pain and difference in your gut.
I don't think he was dismissing GI psych issues. He was commenting more about the brain gut working together (symbiosis.)which is very true. I had cdiff infection and terrible anxiety. There is lots of info re brain gut issues. I would love to hear more talk about this.
BTW I request no sedation during colonoscopies. No big deal. They don’t even offer it at Cleveland Clinic.
The audio level on the podcast was much different for you Vinay, softer than Zuban. I didn't notice on the youtube.
It’s terrible, same on podcast.
When can we claim CME for these episodes?
My only concern with the colonoscopy study is that the SAD diet and American lifestyle are completely different from other countries. We cannot extrapolate from this study that even though they are all humans the environmental impacts are different and are typically what drive colon polyp/cancer formation. It would be interesting to see the same study performed in the US.
VP should check his mike, his volume is very low. I turn my volume above 100% in order to hear him but then Zd becomes too loud.
Yes, so annoying!
And then when they laugh it gets so loud and distorted.
I wish the microphones didn't partially obscure your face. Love listening and learning.
ZDoggs’s description of the process to send in a poo sample was highly exaggerated. I’ve done them numerous times over the past 25 years. Very simple and easy.
Ah ZDogg. Used to follow and love him - until he went political science over real science:(
VP you need to stop echo chamber and get jha or ladapo or other news makers. You cannot just keep pontificating you need to have a dialogue with these folks... Only way your channel will truly grow
Where is the part in the oath about becoming a good doctor?
Vinay, it's hard to hear you, while the other dude is much louder. You need to even it out. Thanks!
I did my colonoscopy without sedation. It honestly wasn't bad. couple of small cramps going around the flexures but totally doable.
You must have been wild back in college 😂😂😂
My father had colon cancer at age 56. After his sigmoid was removed, he had to go for colonoscopies every 6 months. He had to drive an hour for the test so was always able to do them with no sedation. I have had 4 colonscopies. Usually take a small amount of sedation but am awake for most of it. Glad to hear this is good and that Dr less likely to perforate with an awake patient.
I love you two together!
Just thinking that in America our food is not the same as in European countries. I think we should keep doing the full colon based on our fatty fat intake. European dessert isn't even close to the amount of sugar we have in ours. This housekeeper used to bring us her baked goods and 😖. I'm guessing Norway is the same. When I visited Thailand... no aspartame in the diet coke. I don't know anything though.
So I have a question, I've had 2 colos (I'm 40), because I'm at high familial risk. The first wasn't so bad, but I feel like they over dosed the knockout meds this last time. I've had 2 polyps removed. I know your not my doc, but how do I advocate for less knockout meds?
I love you both, even though you took the junk shots. 😂
True scientists test a new medicine first on themselves, not on animals. May we profit from their short- and long-term experiences. 🍷🦍
I listened to the episode on Spotify, and the audio for ZD was waaaay louder than VP. I could barely hear VP.
Yes, it’s terrible!
Do the travelling show! Come to Irvine, CA